Vaccination Policy Case Study

To begin I wanted to research articles that explored the question. In “Ethics and Childhood Vaccination Policy in the United States” Kristin S. Hendrix discusses the flaws childhood vaccination policies have on ethical principles. Hendrix begins by addressing the resurgence of disease due to lack of immunization, and attributes it to differing vaccine attitudes and behaviors, and their influence on child immunization decisions. Hendrix argues that, “…vaccine-hesitant attitudes… may be driven by religious reasons, skepticism about science, or the influence of personalities she trusts on other matters” (Hendrix 273). She also acknowledges

Between 1924 and 2013, vaccinations prevented 103 million cases of polio, measles, rubella, mumps, hepatitis A, diphtheria, and pertussis (Bailey). Vaccinating is “the process by which pathogenic cells are injected into a healthy person in an attempt to cause the body to develop antibodies to a particular virus or bacterium—successful creation of antibodies is referred to as immunity to the disease caused by the particular pathogen” (Introduction to Should Vaccinations be Mandatory). Popular conflicts regarding vaccination include the worry that this form of immunization isn’t natural, the idea that vaccination schedule for children in the U.S. takes away parents’ rights to make decisions for their children, and the concern that vaccinations aren’t safe for all children. Most doctors and scientists advocate for vaccinations in the name of herd immunity, protection against foreign diseases and prevention against pockets of disease outbreaks. Vaccinations should be mandatory for all children in the United States for who they are deemed safe and effective.

Parents face many different decisions when raising a child; some decisions are trivial, and others can be controversial. Whether or not to vaccinate a child is one of the most controversial choices. So controversial, in fact, that there is a political conversation of making immunizations a requirement. Many people support the movement of making vaccinations mandatory. Proponents argue that vaccines save lives, vaccine-preventable diseases have not been eradicated, and vaccines protect herd immunity. Many people also disagree with the possibility of required vaccinations. Opponents argue that vaccines cause harm, immunity by vaccinations is inferior to natural immunity, and government policies should not dictate personal medical choices.

“Vaccines save lives; fear endangers them. It's an unpretentious message parents need to keep hearing.” –Jeffery Kluger. The change in seasons can be intense for some people. It triggers them to become ill and get sick if they do not take care of themselves. Children, among these people, are more prone to becoming ill because their immune systems are not yet fully developed. A great number of parents do not know that getting their children vaccinated when recommended by doctors is a simple solution to childhood illnesses. Therefore, there should be stricter legal regulations that encourage parents to ensure that their children receive vaccinations. This will raise the awareness of vaccinations which will help more people receive them so

To Vaccinate or not to vaccinate, has been a question many parents in America have been asking themselves for years. Some parents believe that it is their right to decide if their children will be vaccinated; while some states believe that all children should be vaccinated. There are logical and illogical reasons for this argument. There should be a federal law that requires parents to vaccinate their children because it will lower the number of deaths, benefit those children who have lower immune systems, and it can get rid of some diseases all together in the future.

The state of Florida has a selection of laws in place regulating vaccinations and vaccination exemptions, but what drives them? Vaccines against meningococcal meningitis and hepatitis are mandatory for enrollment in the K-20 public education system. An individual enrolled in any postsecondary institution who will be residing in on campus housing must provide documentation of these vaccinations. A majority of parents argue that its unethical to force someone else’s child to be immunized, in any situation. There is a request that can be made for religious requirements, and must be presented to the facility or school on the Department of Health’s Religious Exemption from Immunization form -DH 681 Form-. The DH 681 Form is issued by county health departments and is only for a child who is not immunized because of their family’s religious practices. (nvic.org) The vast majority of parents are so strongly opinionated on whether vaccinations will positively or negatively impact their children, but no one takes into consideration the parents who differ in opinions themselves.

I am passionate about this issues. I have worked as an immunization nurse for several years in the state of Maryland. In Maryland there are strict requirements for vaccinating children for school entry. I worked for Prince George’s County and Baltimore County Health Department. In the state of Maryland many children each year are out compliance and therefore are not allowed to attend school until the requirements are satisfied.

Religious beliefs are fundamental rights of the people. As such they are inviolable, within reason. A person cannot simply make up whatever religious beliefs they choose and expect these to be honored by society. Nevertheless, vaccinating against diseases is a practice that has well established resistance among many religious people. Such resistance, as an issue of faith among many people, should be respected by school systems (McFall, 2008).

Everyone in the United States who is not apart of a religious group--in which vaccination will infringe upon their beliefs--should receive vaccinations to ensure the safety of American citizens. For instance, when one schedules an annual physical, he/she may immediately think of vaccines. Young children may whine and teenagers may gripe. “Do I really need a shot mom?” One grumpy teenager or child might ask. The mother, in a typical setting, will say yes. The parent will not reply yes because they wish to hear his/her child complain about a sore arm for the next three days; no, the parent allows the nurse to administer the shot because the vaccine is recommended. In fact, vaccines have been a proven and effective way to protect the human race against diseases. With the intention of preventing diseases, listening to recommendation by qualified physicians and nurses could mean the difference between life and death for other children.

In the United States, the law states that vaccinations are required for children entering school unless they have a valid reason that prevents them from receiving the vaccinations. Starting when children are born, they begin the regimen of vaccinations that continue throughout their adolescent years and adulthood. Each year children receive a variation of shots to protect them from the illnesses they will encounter in the world, especially once they attend school. The most common reasons parents forego getting their children vaccinated are religious beliefs, medical exemptions, and personal beliefs. Due to the rising number of parents declining to get their children vaccinated, the number of outbreaks of preventable diseases has increased. The question is now should parents/guardians be forced to vaccinate their children?

In the 1850s the first school vaccination requirement were enacted to prevent smallpox. Federal and state efforts to eradicate measles in the 1960s and 1970s motivated many to mandate policies. By the 1990s, all 50 states requirement for children to be enrolled in school must receive certain immunizations and if these requirements were not met than children were not allowed to be enrolled in school (Center for Disease Control Prevention, 2010). For example, in the state of California, private public school or daycare cannot admit children unless vaccinations were received for all ten of the diseases. If the California Department of Public Health implements a requirement for vaccination parent can be allowed to obtain personal belief exemptions that would allow parents to opt out of vaccination for their children if form is filled out by healthcare professional that states vaccinations were countered to personal beliefs. This law has not been implemented as of yet but should be in 2016. The healthcare of policy decision in laws can have an influence on individuals based on the decision that are made. Health care policy and issues can affect providers and patients in many different ways. Stakeholders’ in the policymakers for vaccination main concern is the safety and health of children so the implement exemptions of laws from concern about vaccine

The question is, should the government mandate vaccines? Those in favor of child vaccinations, believe that they are the greatest health developments of the 20th century. While those against them believe that a child’s immune system permits either a natural or acquired resistance to diseases than putting questionable toxic ingredients into a child’s body. In the US, 50 states require vaccinations for children entering public schools, though no mandatory federal vaccination laws exist. 50 states issue medical exemptions only (1), 48 states (excluding Mississippi and West Virginia) permit religious exemptions, and 31 states exclude Philosophical exemptions. (2)

Likewise, some people should not receive vaccinations. These individuals should not receive vaccinations due to their age, health conditions, among other factors. These other conditions are independent depending on the type of vaccination received. “They can range from an individual who cannot swallow, to a pregnant woman, to a person with a life-threatening allergy, to a component in the vaccination” (Hales 543). A small percentage of individuals do not respond to a particular vaccine. ”All states provide medical exemptions, and some state laws also offer exemptions for religious and philosophical reasons” (State Vaccination Requirements). “Some religions even prevent certain parents from vaccinating their children because of their belief that the disease is a naturally occurring thing and humans have no right interfering with it” (Hales 544). However, most state laws establish vaccination requirements for school children. These laws apply to public schools, private schools, and day care centers. “State laws also establish mechanisms for enforcement of school vaccination requirements” (State Vaccination Requirement). “Vaccines save

Vaccinations; it’s an intimidating word. Imagine your child being stabbed with needles containing diseases just because your pediatrician said it helps. While a good portion of the audience here today can understand this issue, my question is why are vaccinations such a problem? More specifically, what are the altercations of religious exemptions to vaccines? While it seems to be a personal issue, the choice to or not to vaccinate affects the lives of everyone in your community. All I ask is that you keep an open mind and listen to the information I will present today in hopes that you will better understand vaccinations and the necessity for mandatory vaccination.

This paper examines the controversy surrounding the public health issue of vaccinations in children. Following a careful review of the literature surrounding this issue, the possible reasons for and implications of having a large percentage of the population who remains unvaccinated are discussed. Possible interventions and purposed interventions for resolution of this problem are discussed and conclusions are drawn based on what it learned from the literature.